摘要
背景:结直肠癌(CRC)被认为是全球最主要和最致命的癌症之一。目前,这种癌症的主要临床管理包括化疗和手术;然而,这些治疗会导致耐药性和严重的副作用,因此发现一种替代的和潜在的治疗结直肠癌的方法是至关重要的。许多治疗性癌症最初是从传统医学中使用的天然代谢物中识别出来的,最近几类研究表明,许多天然产物具有抗结直肠癌的潜在作用,并且可以辅助化疗治疗结直肠癌的作用。已经表明,大多数患者对天然化合物耐受性良好,即使在高剂量下也没有任何毒性迹象。常规化疗药物与天然药物化合物的相互作用在癌症探索和治疗中呈现出新的特征。大多数天然化合物通过诱导结直肠癌细胞凋亡和阻止细胞周期(特别是在G、S和G2/M期)来抑制恶性细胞增殖,从而抑制肿瘤生长。 目的:本文旨在综述天然化合物(生物碱、黄酮类、多糖、多酚、萜类、内酯、醌类等)——在体外对结直肠癌细胞系和/或在动物模型的体内实验中被鉴定具有抗结直肠癌活性。 结论:大多数研究的活性天然化合物通过不同的机制和途径在体内外具有抗结直肠癌活性,可作为临床医生支持癌症患者化疗治疗策略和治疗剂量的辅助手段。
关键词: 天然化合物,药物发现,生物标记,结直肠癌,小型综述,化疗。
图形摘要
[http://dx.doi.org/10.1016/j.biopha.2019.109142] [PMID: 31238258]
[http://dx.doi.org/10.1038/s41395-018-0209-2] [PMID: 30315282]
[http://dx.doi.org/10.1016/j.immuni.2015.08.013] [PMID: 26384545]
[http://dx.doi.org/10.7150/ijms.14485] [PMID: 27226778]
[http://dx.doi.org/10.1002/mc.21843] [PMID: 22086675]
[http://dx.doi.org/10.1016/j.addr.2013.09.017] [PMID: 24120655]
[http://dx.doi.org/10.1517/17460441.2015.1079618] [PMID: 26295972]
[http://dx.doi.org/10.7861/clinmedicine.13-1-7] [PMID: 23472485]
[http://dx.doi.org/10.1016/j.phrs.2017.12.020] [PMID: 29287685]
[http://dx.doi.org/10.3390/ijms150712094] [PMID: 25007066]
[http://dx.doi.org/10.1016/j.biopha.2018.02.035] [PMID: 29453046]
[http://dx.doi.org/10.1016/j.jff.2016.06.032]
[http://dx.doi.org/10.1002/ddr.20276] [PMID: 19884979]
[http://dx.doi.org/10.2174/092986711794839205] [PMID: 21143123]
[http://dx.doi.org/10.1016/j.bbamcr.2014.10.013] [PMID: 25409929]
[http://dx.doi.org/10.18632/oncotarget.17411] [PMID: 28496003]
[http://dx.doi.org/10.3892/mmr.2016.4827] [PMID: 26847477]
[http://dx.doi.org/10.1124/mol.110.068668] [PMID: 20978119]
[http://dx.doi.org/10.1055/s-0035-1558289] [PMID: 26848703]
[http://dx.doi.org/10.3892/etm.2014.1900] [PMID: 25187829]
[http://dx.doi.org/10.1007/s11010-015-2424-0] [PMID: 25912550]
[http://dx.doi.org/10.1002/ptr.4680] [PMID: 22473633]
[http://dx.doi.org/10.3390/md11103802] [PMID: 24152558]
[http://dx.doi.org/10.4161/cbt.9.5.10887] [PMID: 20150770]
[http://dx.doi.org/10.1016/j.bbrc.2014.06.029] [PMID: 24937448]
[http://dx.doi.org/10.1159/000490394] [PMID: 30041241]
[http://dx.doi.org/10.3390/molecules180910242] [PMID: 23973996]
[http://dx.doi.org/10.3390/ijms17040558] [PMID: 27089328]
[http://dx.doi.org/10.1093/carcin/bgw112] [PMID: 27797827]
[http://dx.doi.org/10.1038/srep42176] [PMID: 28181527]
[http://dx.doi.org/10.1038/cddis.2017.35] [PMID: 28230866]
[http://dx.doi.org/10.3390/nano9071028] [PMID: 31323842]
[http://dx.doi.org/10.3892/ijo.2013.2101] [PMID: 24042330]
[http://dx.doi.org/10.1111/cas.13425] [PMID: 29034540]
[http://dx.doi.org/10.3892/ijo.2015.3198] [PMID: 26459864]
[http://dx.doi.org/10.1016/j.biopha.2017.08.049] [PMID: 28826099]
[http://dx.doi.org/10.18632/oncotarget.17189] [PMID: 28881770]
[http://dx.doi.org/10.1038/cddis.2014.151] [PMID: 24763055]
[http://dx.doi.org/10.3892/mmr.2014.2728] [PMID: 25333739]
[http://dx.doi.org/10.1016/j.steroids.2013.11.018] [PMID: 24316234]
[http://dx.doi.org/10.1016/j.jep.2015.07.030] [PMID: 26210065]
[http://dx.doi.org/10.1021/acs.jnatprod.6b00006] [PMID: 27064730]
[http://dx.doi.org/10.18632/oncotarget.7351] [PMID: 26883103]
[http://dx.doi.org/10.15430/JCP.2015.20.3.185] [PMID: 26473157]
[http://dx.doi.org/10.1021/acs.jafc.7b04472] [PMID: 29276946]
[http://dx.doi.org/10.3390/md13106259] [PMID: 26445050]
[http://dx.doi.org/10.1186/1472-6882-12-69] [PMID: 22640402]
[http://dx.doi.org/10.1038/srep32979] [PMID: 27622714]
[http://dx.doi.org/10.1016/j.fitote.2017.10.009] [PMID: 29031558]
[http://dx.doi.org/10.1002/ijc.26251] [PMID: 21702037]
[http://dx.doi.org/10.2147/OTT.S170827] [PMID: 30122948]
[http://dx.doi.org/10.1002/mc.22712] [PMID: 28833571]
[http://dx.doi.org/10.1007/s12013-014-9827-5] [PMID: 24435883]
[http://dx.doi.org/10.1016/j.lwt.2015.03.065]
[PMID: 29311619]
[http://dx.doi.org/10.1002/mnfr.201000412] [PMID: 21207511]
[PMID: 27476880]
[PMID: 24528358]
[http://dx.doi.org/10.1186/s12935-015-0194-0] [PMID: 26074733]
[http://dx.doi.org/10.1016/j.jprot.2017.04.005] [PMID: 28391045]
[http://dx.doi.org/10.18632/oncotarget.3064] [PMID: 25605009]
[http://dx.doi.org/10.3109/13880209.2015.1014921] [PMID: 25880142]
[http://dx.doi.org/10.1016/j.jnutbio.2015.08.005] [PMID: 26383537]
[http://dx.doi.org/10.1016/j.foodchem.2017.09.086] [PMID: 29037704]
[http://dx.doi.org/10.1016/j.jpha.2016.04.007] [PMID: 29403999]
[http://dx.doi.org/10.1021/acs.jafc.7b00278] [PMID: 28391699]
[http://dx.doi.org/10.3892/mmr.2016.6081] [PMID: 28035355]
[http://dx.doi.org/10.3892/ol.2016.4331] [PMID: 27123066]
[http://dx.doi.org/10.3390/md15040122] [PMID: 28430159]
[http://dx.doi.org/10.1007/s00595-011-0075-7] [PMID: 22139128]
[http://dx.doi.org/10.1186/s12906-016-1358-8] [PMID: 27716288]
[http://dx.doi.org/10.1016/j.phymed.2018.06.046] [PMID: 30668439]
[http://dx.doi.org/10.1080/01635581.2010.510259] [PMID: 20924971]
[http://dx.doi.org/10.1158/1940-6207.CAPR-11-0148] [PMID: 21680702]
[http://dx.doi.org/10.1002/ptr.4731] [PMID: 22628241]
[http://dx.doi.org/10.1016/j.canlet.2018.05.036] [PMID: 29807115]
[http://dx.doi.org/10.1158/1940-6207.CAPR-10-0098] [PMID: 21372035]
[http://dx.doi.org/10.1186/s13063-015-0641-1] [PMID: 25872567]
[http://dx.doi.org/10.3892/ijo.2015.3166] [PMID: 26397804]
[http://dx.doi.org/10.1016/j.jff.2016.05.003]
[http://dx.doi.org/10.3390/nu9060572] [PMID: 28587207]
[http://dx.doi.org/10.3389/fphar.2019.01614] [PMID: 32116665]
[http://dx.doi.org/10.1124/mol.112.078535] [PMID: 22550094]
[http://dx.doi.org/10.1002/mnfr.201700401] [PMID: 28948694]
[http://dx.doi.org/10.1007/s00280-016-3172-x] [PMID: 27787644]
[http://dx.doi.org/10.18632/oncotarget.11385] [PMID: 27557491]
[http://dx.doi.org/10.1002/jcb.24680] [PMID: 24591255]
[http://dx.doi.org/10.1016/j.clnu.2013.04.005] [PMID: 23672803]
[http://dx.doi.org/10.1016/j.lfs.2014.01.075] [PMID: 24530873]
[http://dx.doi.org/10.1002/mnfr.201100651] [PMID: 22648623]
[http://dx.doi.org/10.1016/j.cbi.2012.02.003] [PMID: 22410117]
[http://dx.doi.org/10.1002/ijc.24397] [PMID: 19384947]
[http://dx.doi.org/10.1186/1749-8546-6-27] [PMID: 21777476]
[http://dx.doi.org/10.1007/978-3-319-59180-3_19]
[http://dx.doi.org/10.1007/s11010-008-9706-8] [PMID: 18256791]
[http://dx.doi.org/10.1093/carcin/bgh123] [PMID: 14976134]
[http://dx.doi.org/10.1254/jphs.FP0070789] [PMID: 17721042]
[http://dx.doi.org/10.1111/1750-3841.15156]
[http://dx.doi.org/10.1093/jn/136.3.821S] [PMID: 16484573]
[http://dx.doi.org/10.1371/journal.pone.0210274] [PMID: 30657763]
[http://dx.doi.org/10.1093/ajcn/86.5.1456] [PMID: 17991659]
[http://dx.doi.org/10.1080/13813455.2018.1455710] [PMID: 29587544]
[http://dx.doi.org/10.1007/s12094-007-0138-9] [PMID: 18158980]
[http://dx.doi.org/10.1016/j.phrs.2012.03.010] [PMID: 22465196]
[http://dx.doi.org/10.1371/journal.pone.0115068] [PMID: 25500581]
[http://dx.doi.org/10.1021/np200906s] [PMID: 22316239]
[http://dx.doi.org/10.3390/molecules16075629] [PMID: 21993222]